Formulas · Tonify Yang 補陽 · Jesaeng (濟生)
Augmented Four Catties Pill
Gamisageun-won
한글 가미사근원 · Pinyin Jia Wei Si Jin Yuan
Powdered; the steamed chaenomeles paste is worked in with a wine paste to bind pills the size of parasol-tree seeds; 70 pills with warm wine or salted broth. **Note on modern practice: tiger shin bone is from a critically endangered species protected under CITES Appendix I; contemporary practice substitutes dog bone or omits it. Chuanwu is a regulated toxic aconite requiring proper processing.**
Composition 構成
- Useul牛膝 우슬 · Achyranthes60 g
Chief 君 wine-steeped - Mogwa木瓜 모과 · Chinese Quince40 g
Chief 君 one fruit, steamed through, made into paste - Cheono川烏 천오 · Aconite Main Root40 g
Deputy 臣 - Hogol虎骨 호골 · Tiger Bone (prohibited)40 g
Deputy 臣 tiger shin bone — see note - Yukjongyong肉蓯蓉 육종용 · Cistanche40 g
Deputy 臣 - Yuhyang乳香 유향 · Frankincense20 g
Assistant 佐 - Molyak沒藥 몰약 · Myrrh20 g
Assistant 佐
Total 260 g per packet (첩) · representative dosage — verify against source texts.
Received this formula from your practitioner? Amounts shown here are classical reference values — granule and prepared products differ. Always follow your prescribed dosage and directions.
Actions 效能
- Rebuilds a Liver and Kidney both vacuous where the legs ache and wilt
- Warms out wind cold and damp that have settled in them
Indications 主治
Pattern-based
- Liver and Kidney both vacuous with legs and knees aching and wilting (肝腎俱虛 脚膝痠疼痿弱)
- Or having taken in wind cold and damp Qi so that the legs pain
- Chronic leg weakness with cold
Biomedical correlates
- Chronic leg weakness with aching
- Degenerative leg conditions
- Long-course restorative therapy
Source text 原文
Donguibogam 東醫寶鑑
治肝腎俱虛, 脚膝痠疼痿弱, 或受風寒濕氣以致脚痛. 牛膝(酒浸) 一兩半, 川烏ㆍ虎脛骨ㆍ肉蓯蓉 各一兩, 乳香ㆍ沒藥 各五錢, 木瓜 一箇(蒸熟). 右爲末, 入木瓜膏和酒糊丸如梧子, 溫酒或鹽湯下七十丸. 《濟生》
Translation
Treats Liver and Kidney both vacuous, with legs and knees aching and wilting and weak, or having taken in wind, cold, and damp Qi so that the legs pain. Wine-steeped achyranthes 1 nyang 5 don; chuanwu aconite, tiger shin bone, and cistanche, 1 nyang each; frankincense and myrrh, 5 don each; chaenomeles, one fruit steamed through. Powder the above, work in the chaenomeles paste with a wine paste and bind pills the size of parasol-tree seeds; take 70 pills with warm wine or salted broth. — Jesaeng 濟生 (Donguibogam · Jok)